The recent article by Paradise,1 dealing with the sequelae of repeated otitis, again cautions the clinician to be wary of reports that for some people serve as justification for aggressive treatments. His review of the literature, which consists of many diverse articles, seems accurate and appears to present fairly the differing view-points as well as some of the problems with conducting research in this area.
One statement in the article deserves further enhancement, and is something that has been worrisome to us since the first publications on this type of research.
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